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Proficient in understanding financial auditing processes of the 3 largest PBMs: CVS Health, Optum Rx, and Express Scripts. The AVP of Pharmacy Auditing will lead the Rx Auditing practice for NFP. This is an opportunity for a strategic thinker to develop policies, procedures, and people to continue to grow our national auditing practice.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Develop Policies and Procedures: Create acceptable industry processes to work with Pharmacy Benefits vendors to efficiently scale auditing practice. Proven track record with 4 + years of experience in Pharmacy Benefit Financial Auditing.
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Compliance Auditing Specialist is responsible for ensuring that properties are maintaining program requirements set by the IRS, states, local governments and other entities to maintain compliance for affordable communities within their portfolio.
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Required experience leading pharmacy benefit financial auditing engagements. We're a recognized Elite Agency award winner and a leading property and casualty broker, benefits consultant, wealth manager, and retirement plan advisor.
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NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the WORK180 employer endorsement.
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Hold a nationally recognized certification in privacy, IT security auditing, auditing, or IT security management, or within one (1) year of hire, must pass the required examination for purpose of obtaining certification from a nationally recognized organization demonstrating knowledge of and practice in auditing (i.e., AICPA), IT security auditing (i.e., ISACA's CIS) or privacy program management (i.e., IAPP's CIPM or CIPP.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Technical knowledge in auditing applications and infrastructure systems. Experience with auditing SAP. The Senior IT Auditor will report to the IT Audit Director and will be a critical part of the Vistra Audit Team. The Senior IT Auditor will assist in maturing an effective IT internal audit program, including identifying, planning, organizing, executing, and reporting on audits that work towards Vistra's goals and objectives.
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This position is also responsible for auditing medical record documentation to determine appropriate diagnostic coding for services provided, taking into account the AMA CPT coding guidelines, ICD-9 & ICD-10 Coding Guidelines, CMS Medicare, HHS, and DHS BadgerCare Plus risk adjustment policy and Hierarchical Condition Category Coding.
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Oversees some level of quality control monitoring, such as NPSG auditing, turnaround times, performance improvement initiatives. Help in daily, monthly, and or quarterly quality control initiative through auditing and reporting.
ExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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The Information Systems Engineer also leverages configuration management tools to effectively manage a fleet of heterogeneous systems, conducts compliance auditing, and vulnerability and patch remediation.
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Audits ACAS reports, re-scans, dashboards, HBSS / ESS auditing, reports and query's, RSA / Token auditing and reports. Regularly monitors AD and group policy query's, performs cleanup, and auditing; PowerShell (Nonuse removal, Password Last set etc.
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The Provider Enrollment Coordinator works closely with divisions to ensure accurate and complete information is collected and database maintenance and auditing are performed. The Provider Enrollment Coordinator provides filing for enrollment of healthcare providers with all governmental programs and contracted commercial and managed care health plans.
Full-timeRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Health Care Fiscal Analyst Trainee 1: A bachelor's or higher degree in accounting, auditing, business administration, economics, finance, healthcare administration, hospital administration, or public administration including or supplemented by 12 semester credit hours in accounting and/or auditing and 6 semester additional credit hours in statistics, economics, accounting and/or auditing.
$52,198 - $82,656 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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At least 2 years of experience in information technology (operations, software delivery, access management, microservices), information security (application security, network security, cyber security, data protection), information systems risk management, information systems auditing, or a combination.
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At least 4 years of experience in information technology (operations, software delivery, access management, microservices), information security (application security, network security, cyber security, data protection), information systems risk management, information systems auditing, or a combination.
Full-timeExpandApply NowActive JobUpdated 19 days ago
auditing job Title: recruiting coordinator Company: Amerisourcebergen Corporate
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